Provider Demographics
NPI:1427248939
Name:OCHOA, CHRISTINA M (LCPC)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:M
Last Name:OCHOA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 N 88TH ST
Mailing Address - Street 2:HIGHWAY 157
Mailing Address - City:CENTREVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62203-2705
Mailing Address - Country:US
Mailing Address - Phone:618-398-1152
Mailing Address - Fax:618-398-6977
Practice Address - Street 1:353 N 88TH ST
Practice Address - Street 2:HIGHWAY 157
Practice Address - City:CENTREVILLE
Practice Address - State:IL
Practice Address - Zip Code:62203-2705
Practice Address - Country:US
Practice Address - Phone:618-398-1152
Practice Address - Fax:618-398-6977
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health